State Plan Amendments (SPAs)
The documents listed below are amendments to Medicaid's state plan and have been submitted to the Centers for Medicare and Medicaid Services (CMS) for approval. These amendments are in draft form only.
To view definitions or SPA's submitted by year, refer below.
Please Note: All manuals and materials are in PDF format and require a PDF reader, like Adobe Acrobat, to view the information. This program is free to download and easy to install. If you do not have this reader on your computer, Click to get the Adobe Reader
Definitions
The following is a definition of status terms:
- Approved - accepted by CMS
- Off the Clock - CMS and DMS have agreed to let DMS resolve significant issues that would go beyond the 90-day clock.
- Pending - amendment has been submitted to CMS and is under review for approval.
- Withdrawn - See letter for explanation.
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2011 SPAs |
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| SPA # |
Title |
Status |
| 11-001 |
Payment to Financial Institutions Outside the US |
Approved |
| 11-002 |
Pharmacy Provider Reimbursement |
Approved |
| 11-003 |
Optometrist Clean Up Language |
Approved |
| 11-004 |
School Based Services |
Withdrawn |
| 11-005 |
Reimbursement of In-State Government Owned Hospitals |
Approved |
| 11-006 |
Clean Up Language |
Approved |
| 11-007 |
Hospice for Children |
Approved |
| 11-008 |
School Based Services |
Pending |
| 11-009 |
Provider Preventable Conditions |
Pending |
| 11-010 |
Pharmacy Reimbursement |
Pending |
| 11-011 |
Smoking Cessation for Pregnant Women |
Pending |
| 11-012 |
RAC Exceptions |
Pending |
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2010 SPAs |
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2009 SPAs |
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| SPA # |
Title |
Status |
| 09-001 |
Disease Management |
Withdrawn |
| 09-002 |
Inpatient Hospital Supplemental Payments |
Approved |
| 09-003 |
Minor Inpatient Hospital Payment Revisions |
Approved |
| 09-004 |
Kentucky Title XIX State Plan Amendment, Transmittal# 09-004 |
Approved |
| 09-005 |
Kentucky Title XIX State Plan Amendment, Transmittal# 09-005 |
Approved |
| 09-006 |
Kentucky Title XIX State Plan Amendment, Transmittal# 09-006 |
Approved |
| 09-007 |
Kentucky Title XIX State Plan Amendment, Transmittal# 09-007 |
Approved |
| 09-008 |
Kentucky Title XIX State Plan Amendment, Transmittal# 09-008 |
Approved |
| 09-009 |
Kentucky Title XIX State Plan Amendment, Transmittal# 09-009 |
Approved |
| 09-010 |
Kentucky Title XIX State Plan Amendment, Transmittal# 09-010 |
Denied |
| 09-011 |
Kentucky Title XIX State Plan Amendment, Transmittal# 09-011 |
Approved |
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2008 SPAs |
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| SPA # |
Title |
Status |
| 08-001 |
Ambulance Rate Increase |
Approved |
| 08-002 |
Commissioner's signature |
Approved |
| 08-003 |
Supplemental Rebate/NMPI Drug purchasing Pool |
Approved |
| 08-004 |
Medicaid Works |
Approved |
| 08-005 |
Medicaid Integrity Program |
Approved |
| 08-006 |
HANDS, KEIS,and CCSHCN Case Management |
Withdrawn |
| 08-007 |
SED kids and Chronically Mentally Ill Adults Case Management |
Withdrawn |
| 08-008 |
Inpatient Reimbursement (UK Post Lewin) |
Off the Clock |
| 08-009 |
Long-term Care Partnership Program |
Approved |
| 08-010 |
School Based Health Services |
Approved |
| 08-011 |
Outpatient Services Reimbursement |
Off the Clock |
| 08-012 |
TPL |
Approved |
| 08-013 |
Peer Support Specialist |
Withdrawn |
| 08-014 |
Hemophilia 340B |
Withdrawn |
| 08-015 |
Census Income Exclusion |
Approved |
| Title XXI #9 |
KCHIP - mail in application |
Withdrawn |
| Title XXI #10 |
KCHIP - mail in application |
Approved |
| 08-016 |
Definition of Outpatient Services |
Withdrawn |
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2007 SPAs |
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| SPA # |
Title |
Status |
| 07-001 |
Kentucky Health Choices Clarification |
Pending |
| 07-002 |
Employee Education About False Claims Recovery |
Approved |
| 07-003 |
Parent Choice |
Withdrawn |
| 07-004 |
NF Brain Injury Unit Rate Increase |
Approved |
| 07-005 |
SDO/1915(j) |
Withdrawn |
| 07-006 |
Change in Commissioner and Signature Authority |
Approved |
| 07-007 |
Physician Reimbursement |
Withdrawn |
| 07-008 |
Dental Upper Limit Increase for Children |
Approved |
| 07-009 |
Medicaid Works |
Withdrawn |
| 07-010 |
Inpatient Reimbursement |
Approved |
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2006 to 2000 SPAs |
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| SPA # |
Title |
Status |
| 06-001 |
Four Prescription Per Month Limit |
Approved |
| 06-002 |
DRG Supplemental Payments |
Approved |
| 06-003 |
Buy In |
Approved |
| 06-004 |
Local Government Supplemental Payments |
Withdrawn |
| 06-005 |
State Owned Academic Medical Center Physician Supplement |
Approved |
| 06-006 |
Global Choices |
Approved |
| 06-007 |
Global Choices |
Approved |
| 06-008 |
Transportation |
Approved |
| 06-009 |
Treatment of Medical Expenses During a Period of Ineligibility |
Approved |
| 06-010 |
Family, Comprehensive and Optimum Choices |
Approved Part I Part II |
| 06-011 |
Change in Commissioner and Signature Authority |
Approved |
| 06-012 |
Kentucky Health Choices Clarification |
Approved |
| 06-013 |
Reimbursement for Physician Services |
Approved |
| 06-014 |
Transfer of Assets |
Approved |
| 06-015 |
Basic Homecare Services |
Withdrawn |
| 06-016 |
Behavior Pharmacy Management Program |
Approved |
| 04-003 |
School Based Health |
Approved |
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